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Couple Facing Premature Ejaculation


Stanley Althof

Professor of Psychology & Sex Therapist
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Content: Aldo (45 years old) and Maria (41 years old), married for 13 years with two children, asked for sex therapy. Aldo complains of lifelong premature ejaculation (PE), whereas Maria reports no sexual problems. His IELT worsened throughout the passing time and is currently less than 1 minute. Aldo underwent two medical consultations with different specialists, with no evident results. Maria is upset and disappointed about their sexual life; she has known about his PE since they met, but he had promised he would do something to solve the problem. She is now avoiding any physical contact.

They have become emotionally distant and severely distressed. The biopsychosocial assessment reveals a few more critical aspects in their life that may sustain the symptom. Dr. Stanley Althof discusses this prevalent case presented by Francesca Tripodi, sharing his clinical experience on several issues:

  1. What does premature ejaculation means to the man, the woman, and the couple, and which are the benefits of involving the partner in the treatment?
  2. Why do many men avoid using the prescribed medication despite looking for a fast solution to their sexual problems?
  3. How can we harmonize different approaches (psychological, medical, etc.), and where should we start from?
  4. Which mistakes should clinicians avoid in this case, and which obstacles could they meet?

Produced in 2022

Stanley Althof

Professor of Psychology & Sex Therapist
Distinguished Guest

Stanley E. Althof, Ph.D., is Executive Director of the Center for Marital and Sexual Health of South Florida and Professor Emeritus at Case Western Reserve University School of Medicine.

Dr. Althof is Past-President of the International Society for the Study of Women’s Sexual Health (ISSWSH), Past-President of the Society for Sex Therapy and Research (SSTAR) and the Tri-State Group Psychotherapy Society. He was a Board Member of the International Society for Sexual Medicine and a Committee Chairperson of the Sexual Medicine Society of North America.
Dr. Althof has been instrumental in the development of sex therapy as a sub-specialty area. He has been in practice for over 40 years and specializes in treating men, women and couples with sexual and relationship problems.
In addition to clinical practice, Dr. Althof is an internationally recognized researcher and scientist. His research focuses on the psychosocial aspects of sexual dysfunction and its impact on men, women, and couples. He is the author of over 160 peer-reviewed publications and has contributed numerous chapters to leading textbooks in psychiatry, urology, and sex therapy. He is a highly sought after lecturer and travels extensively both internationally and within the United States to present his research findings.
From 2014-2016 Dr. Althof was an Associate Editor for the Journal of Sexual Medicine. He is also the Associate Editor of two books- Handbook of Clinical Sexuality for Mental Health Professionals and Male and Female Sexual Dysfunction.
Dr. Althof received his Ph.D. in clinical psychology from Oklahoma State University in Stillwater, Oklahoma. He completed an internship in clinical psychology at University Hospitals of Cleveland, which was followed by additional postgraduate work at the Menninger Foundation in Topeka, Kansas.

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